Hygiena 2007, 52(3):79-81
Heart Rate Recovery and Its Prognostic Value in Heart Failure Patients
- 1 Ústav hygieny a preventivního lékařství LF UK v Hradci Králové
- 2 Division of Cardiovascular Diseases and
- 3 Biostatistics, Mayo Clinic, Rochester, Minnesota, USA
The goal of this study was to evaluate heart rate recovery (HRR) as a useful variable in assessing risk of death in heart failure (HF) patients and compare it with other prognostic indicators.
Methods: Retrospective data were analyzed in 712 HF patients who underwent echocardiography and exercise testing.
Results: Patients were divided into 3 groups according to their HRR: group 1 (HRR ≤ 4 bpm), group 2 (5 ≤ HRR ≤ 9 bpm), and group 3 (HRR ≥ 10). Group 1 had the highest mortality in both, the long and short term. HRR was independently predictive of mortality after adjusting for age, gender, NYHA class, LVEF and BMI.
Conclusions: HRR might be used as an additional prognostic indicator.
Keywords: exercise testing, heart frequency, oxygen consumption, heart failure
Published: September 1, 2007 Show citation
References
- Arena R, Guazzi M, Myers J, Peberdy MA. Prognostic value of heart rate recovery in patients with heart failure. Am Heart J. 2006 Apr;151(4):851.e7-13.
Go to original source...
Go to PubMed...
- Arena R, Myers J, Aslam SS, Varughese EB, Peberdy MA. Peak VO2 and VE/VCO2 slope in patients with heart failure: a prognostic comparison. Am Heart J. 2004 Feb;147(2):354-60.
Go to original source...
Go to PubMed...
- Bilsel T, Terzi S, Akbulut T, Sayar N, Hobikoglu G, Yesilcimen K. Abnormal heart rate recovery immediately after cardiopulmonary exercise testing in heart failure patients. Int Heart J. 2006 May;47(3):431-40.
Go to original source...
Go to PubMed...
- Dimopoulos S, Anastasiou-Nana M, Sakellariou D, Drakos S, Kapsimalakou S, Maroulidis G, et al. Effects of exercise rehabilitation program on heart rate recovery in patients with chronic heart failure. Eur J Cardiovasc Prev Rehabil. 2006 Feb;13(1):67-73.
Go to original source...
- Hirsh DS, Vittorio TJ, Barbarash SL, Hudaihed A, Tseng CH, Arwady A, et al. Association of heart rate recovery and maximum oxygen consumption in patients with chronic congestive heart failure. J Heart Lung Transplant. 2006 Aug;25(8):942-5.
Go to original source...
Go to PubMed...
- Myers J, Gullestad L, Vagelos R, Do D, Bellin D, Ross H, et al. Cardiopulmonary exercise testing and prognosis in severe heart failure: 14 mL/kg/min revisited. Am Heart J. 2000 Jan;139(1 Pt 1):78-84.
Go to original source...
Go to PubMed...
- Nanas S, Anastasiou-Nana M, Dimopoulos S, Sakellariou D, Alexopoulos G, Kapsimalakou S, et al. Early heart rate recovery after exercise predicts mortality in patients with chronic heart failure. Int J Cardiol. 2006 Jun 28;110(3):393-400.
Go to original source...
Go to PubMed...
- Streuber SD, Amsterdam EA, Stebbins CL. Heart rate recovery in heart failure patients after a 12-week cardiac rehabilitation program. Am J Cardiol. 2006 Mar 1;97(5):694-8.
Go to original source...
Go to PubMed...
- Wijbenga JA, Balk AH, Meij SH, Somoons ML, Malik M. Heart rate variability index in congestive heart failure: relation to clinical variables and prognosis. Eur Heart J. 1998 Nov;19(11):1719-24.
Go to original source...
Go to PubMed...
- Wolk R, Somers VK, Gibbons RJ, Olson T, O'Malley K, Johnson BD. Pathophysiological characteristics of heart rate recovery in heart failure. Med Sci Sports Exerc. 2006 Aug;38(8):1367-73. Mgr. Věra Kubrychtová
Go to original source...
Go to PubMed...